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UM Nurse Specialist

Location: Los Angeles
Posted on: July 8, 2024

Job Description:

This UM Nurse Specialist Position Features:


? Great Pay


? Opportunity for Growth


? Established company



Immediate need for UM Nurse Specialist seeking great pay in an established company that offers opportunity for growth. Candidate will be in charge of the facilitation, coordination and approval of medically necessary referrals for lines of business (MCLA, Healthy Families, Healthy Kids) that meet established criteria.



Works with UM manager and Physician Adviser on case reviews for pre-service, concurrent post-service and retrospective claims medical review.



Acts as a department resource for medical services request/referral management and processes.



Apply for this great position as a UM Nurse Specialist today! We are an equal employment opportunity employer and will consider all qualified candidates without regard to disability or protected veteran status.

Keywords: , Los Angeles , UM Nurse Specialist, Healthcare , Los Angeles, California

Click here to apply!

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